Used by Amputee Team, registered with ADP to request funding for conventional upper/lower limb prosthees.
Application used by Homemaker and Nurses to request reimbursement from the Province for services provided.
For retailers that primarily sell specialty tobacco products to apply for a tobacconist registration.
Used to renew funding for home oxygen therapy.
Used to apply for Funding for Ventilator Equipment and Supplies
Claim card used by physicians to receive reimbursement for reciprocal claims
The form is an application for direct bank deposit for vendors registered with the Assistive Devices Program.
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Form used by physicians to register with group
Public Health Unit requisition for specimen shipping supplies for rabies testing
This form is used by Manufacturer's Testing Facilities to report testing of Manual Wheelchairs.
This form is used by Manufacturer's Testing Facilities to report testing of Ambulation Aids
Form completed by provider authorizing payment to go to group
